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Proximal fifth metatarsal fractures: an up-to-date review
Arthrosc Orthop Sports Med 2024;11:49-56
Published online November 1, 2024;  https://doi.org/10.14517/aosm24012
© 2024 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Jong Eun Kim1, Jun-Young Lee2, Gun-Woo Lee1,3

1Department of Orthopedic Surgery, Chonnam National University Hospital, 2Department of Orthopaedic Surgery, Chosun University Hospital, Chosun University College of Medicine, 3Department of Orthopedic Surgery, Chonnam National University Medical School, Gwangju, Korea
Correspondence to: Gun-Woo Lee, https://orcid.org/0000-0002-9155-6498
Department of Orthopedic Surgery, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-220-6332, Fax: +82-62-220-6338, E-mail: gwleeos@gmail.com
Received September 27, 2024; Accepted October 2, 2024.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Proximal fifth metatarsal fractures, such as Jones fractures (a notable subset of fractures occurring at the metaphyseal–diaphyseal junction), remain a challenging injury for orthopedic surgeons. This review examined pathophysiology, classification, and treatment options for such fractures, specifically the unique anatomical and vascular considerations that complicate healing. Although conservative management may be suitable for some fracture types, surgical intervention, especially intramedullary screw fixation, for Jones fractures in athletic populations have outcomes superior to those of other techniques. This review highlights the importance of tailored treatment approaches based on fracture characteristics and patient factors while also emphasizing the need for further studies to standardize classification and optimize treatment protocols.
Keywords : Metatarsals; Fracture; Fracture fixation; Jones fracture
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